Organization Active NPI

Sahar K Rida MD SC

  • Allergy & Immunology Physician
  • Des Plaines, IL
National Provider Identifier
1275526006
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
Legal business name
SAHAR K RIDA MD SC
Practice address
380 E Northwest Hwy
Suite 310
Des Plaines, IL 60016-2290
Phone
(847) 954-0112
Fax
(847) 954-0313
NPI assigned
Aug 26, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Sahar K Rida, MD
Title
President
Phone
(847) 954-0112

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207K00000X Primary

Addresses

Primary practice location

380 E Northwest Hwy
Suite 310
Des Plaines, IL 60016-2290

Mailing address

380 E Northwest Hwy
Suite 310
Des Plaines, IL 60016-2290

Other identifiers 2

IdentifierTypeStateIssuer
0001632139OtherBCBS
10672860OtherCAQH

National Provider Directory

National Provider Directory

Locations

380 E Northwest Hwy
Ste 310
Des Plaines, IL 60016
Phone (847) 296-6699

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1125014400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1275526006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "380 E NORTHWEST HWY",
            "address_2": "SUITE 310",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600162290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "380 E NORTHWEST HWY",
            "address_2": "SUITE 310",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600162290",
            "telephone_number": "847-954-0112",
            "fax_number": "847-954-0313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAHAR K RIDA MD SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RIDA",
        "authorized_official_first_name": "SAHAR",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-954-0112",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Allergy & Immunology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0001632139",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "10672860",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Des Plaines, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.